Lecture Exam Practice Questions - Pt II

20 Questions | Total Attempts: 54

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Lecture Exam Practice Questions - Pt II


Questions and Answers
  • 1. 
    Maslow's Hierarchy of Needs theory helps the nurse to identify the patient's:
    • A. 

      Problem that has the top priority

    • B. 

      Developmental level

    • C. 

      Coping patterns

    • D. 

      Health beliefs

  • 2. 
    According to Maslow's hierarchy of needs, the nurse identifies that the level of need that should be met just before self-esteem needs can be met is:
    • A. 

      Safety

    • B. 

      Belonging

    • C. 

      Physiologic

    • D. 

      Self-actualization

  • 3. 
    According to Maslow, which behavior least describes someone who is self-actualized? A person who:
    • A. 

      Is autonomous

    • B. 

      Is able to see the good in others

    • C. 

      Has the ability to problem-solve

    • D. 

      Has an external locus of control

  • 4. 
    The main purpose of the working phase of a therapeutic nurse-patient relationship is to:
    • A. 

      Establish a formal or informal contract that addresses the patient's problems

    • B. 

      Implement nursing interventions that are designed to achieve expected patient outcomes

    • C. 

      Develop rapport and trust so the patient feels protected and an initial plan can be identified

    • D. 

      Clearly identify the role of the nurse and establish parameters of the professional relationship

  • 5. 
    A patient says, "I don't know if I'll make it through this surgery." Which response by the nurse may block further communication by the patient?
    • A. 

      "You sound scared."

    • B. 

      "You think you will die."

    • C. 

      "Surgery can be frightening."

    • D. 

      "Everything will be alright."

  • 6. 
    The patient states, "My wife is going to be very upset that my prostate surgery probably is going to leave me impotent." What is the best response by the nurse?
    • A. 

      "I'm sure your wife will be willing to make that sacrifice in exchange for your well-being."

    • B. 

      "The doctors are getting great results with nerve-repairing surgery today."

    • C. 

      "Your wife may not put as much emphasis on sex as you think."

    • D. 

      "Let's talk about how you feel about this surgery."

  • 7. 
    A patient verbally communicates with the nurse while exhibiting nonverbal behavior. To confirm the meaning of the nonverbal behavior, the nurse should:
    • A. 

      Look for similarity in meaning between the patient's verbal and nonverbal behavior

    • B. 

      Ask family members to help interpret the patient's behavior

    • C. 

      Validate inferences by asking the patient direct questions

    • D. 

      Recognize that what a patient says is most important

  • 8. 
    The nurse is collecting data for an admission nursing history. Which question by the nurse is best to open the discussion?
    • A. 

      "What brought you to the hospital?"

    • B. 

      "Would it help to discuss your feelings?"

    • C. 

      "Do you want to talk about your concerns?"

    • D. 

      "Would you like to talk about why you are here?"

  • 9. 
    The patient is upset and crying and mentions something about her job that the nurse cannot understand. The nurse's best response is:
    • A. 

      "It's natural to be worried about your job."

    • B. 

      "Your job must be very important to you."

    • C. 

      "Calm down so that I can understand what you are saying."

    • D. 

      "I'm not quite sure I heard what you were saying about your job."

  • 10. 
    When providing nursing care, humor should be used to:
    • A. 

      Diminish feelings of anger

    • B. 

      Refocus the patient's attention

    • C. 

      Maintain a balanced perspective

    • D. 

      Delay dealing with the inevitable

  • 11. 
    What is the best response by the nurse when the patient's husband says, "I just don't know what to say to my wife if she asks how I feel about her breast cancer."
    • A. 

      "How do you feel about your wife's diagnosis?"

    • B. 

      "This is a difficult topic. However, let's talk about it."

    • C. 

      "Do you think you could be as supportive as you possibly can be?"

    • D. 

      "Men don't always understand what women are going through. Ask her how she feels."

  • 12. 
    The nurse understands that evaluation most directly relates to which aspect of the nursing process?
    • A. 

      Goal

    • B. 

      Problem

    • C. 

      Etiology

    • D. 

      Implementation

  • 13. 
    The nurse is collecting subjective data associated with a patient's anxiety. Which assessment method should be used to collect the information?
    • A. 

      Observing

    • B. 

      Inspecting

    • C. 

      Auscultation

    • D. 

      Interviewing

  • 14. 
    During which of the five steps of the nursing process does the nurse analyze data critically?
    • A. 

      Diagnosis

    • B. 

      Clustering

    • C. 

      Collection

    • D. 

      Assessment

  • 15. 
    The nurse understands that the appropriateness of a nursing diagnosis is supported by its:
    • A. 

      Defining characteristics

    • B. 

      Planned interventions

    • C. 

      Diagnostic statement

    • D. 

      Related risk factors

  • 16. 
    The nurse is planning care for a patient who has an intolerance to activity. What is the first assessment that should be made by the nurse?
    • A. 

      Influence on other family members

    • B. 

      Impact on functional health patterns

    • C. 

      Pattern of vitals

    • D. 

      Range of motion

  • 17. 
    The nurse understands that the skin protects the body from infections because the:
    • A. 

      Cells of the skin are constantly being replaced, thereby eliminating external pathogens

    • B. 

      Epithelial cells are loosely compacted on skin, providing a barrier against pathogens

    • C. 

      Moisture on the skin surface prevents colonization of pathogens

    • D. 

      Alkalinity of the skin limits the growth of pathogens

  • 18. 
    A nurse identifies that a patient has an inflammatory response. Which local adaptation supports this conclusion?
    • A. 

      Fever

    • B. 

      Erythema

    • C. 

      Bradypnea

    • D. 

      Tachycardia

  • 19. 
    The nurse understands that the secondary line of defense against infection is the:
    • A. 

      Mucous membranes of the respiratory tract

    • B. 

      Urinary tract environment

    • C. 

      Integumentary system

    • D. 

      Immune response

  • 20. 
    The nurse understands that a primary (nonspecific) defense that protects the body from infection is:
    • A. 

      Antibiotic therapy

    • B. 

      The high pH of the skin

    • C. 

      Cilia in the respiratory tract

    • D. 

      The alkaline environment of the vagina

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